| NPI | 1740689967 | 
|---|---|
| Doing Business As | OCEANSIDE DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | DAN SPEARS Owner/President 843-626-5437  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2464)  | 
| Enumeration Date | 2014-08-14 | 
| Last Update Date | 2014-08-14 |